The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED RESCISSION

20 CSR 2120-3.400
Preneed Agents—Requirements of Agent’s Seller 

The purpose of this rescission is a result of relevant information being moved to other regulations.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RESCISSION

20 CSR 2120-3.405
Preneed Agents—Missouri Law Exam
The rule is being rescinded so that a readoption can be filed that provides additional clarification.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RULE

20 CSR 2120-3.405
Preneed Agents
This rule outlines the provisions for the practice of preneed agent.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will cost private entities eighteen thousand two hundred twenty dollars ($18,220) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

Link to Missouri Register

This proposed rule does have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED RESCISSION

20 CSR 2120-3.410
Preneed Agent’s Seller Must Be Licensed

The purpose of this rescission is a result of relevant information being moved to other regulations.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Embalmers

PROPOSED AMENDMENT

20 CSR 2220-2.200
Sterile Compounding

This amendment removes the requirement that Risk Level 3 preparations must remain Risk Level 3 for the life of the preparation.

PUBLIC COST:  This proposed amendment will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate. 

Link to Missouri Register

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

EMERGENCY AMENDMENT

20 CSR 2220-2.200
Sterile Compounding

This amendment removes the requirement that Risk Level 3 preparations must remain Risk Level 3 for the life of the preparation.

PUBLIC COST:  This emergency amendment will not cost state agencies or political subdivisions more than five-hundred dollars ($500) in the time the emergency is effective.

PRIVATE COST:  This emergency amendment will not cost private entities more than five-hundred dollars ($500) in the time the emergency is effective.

Link to Missouri Register

This emergency amendment does not have an adverse impact on small businesses.

Professional Registration - Pharmacy

PROPOSED RULE

20 CSR 2220-2.016
Pharmacy Operating Procedures During Declared Disasters

This rule establishes guidelines for temporary pharmacy operations during an emergency or declared disaster.

PUBLIC COST: This proposed rule will result in a decrease in revenue to the State Board of Pharmacy of two-thousand dollars, six hundred and fifty dollars ($2,650) annually for the life of the rule, as reflected in the attached public fiscal note.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED RECISSION

20 CSR 2220-2.016
Pharmacy Operating Procedures During Declared Disasters

This rule is being rescinded and re-promulgated to address both disasters and state/federal emergencies.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2234-1.050 Fees

The board is increasing the application, renewal, and reactivation fees.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities five thousand five hundred dollars ($5,500) annually and fifty-one thousand four hundred fifty dollars ($51,450) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Private Investigators

PROPOSED AMENDMENT

20 CSR 2263-2.031 Acceptable Supervisors and Supervisor Responsibilities

This amendment reduces continuing education requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED AMENDMENT

20 CSR 2263-2.050 Application for Licensure as a Social Worker

This amendment allows applicants to take the exam before they graduate.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED AMENDMENT

20 CSR 2235-7.010 Continuing Education

The amendment is the result of a statutory change necessitating three (3) of the forty (40) continuing education credits required be in ethics and clarifies the reporting period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2255-1.030 Complaint Handling and Disposition

This amendment allows the board to take disciplinary action for failure to respond to a board request or inquiry.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Respiratory Care

PROPOSED AMENDMENT

20 CSR 2235-2.001 Educational Requirements, Section 337.021, RSMo

This amendment is a clarification and update of timeframes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than $500 in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than $500 in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED RULE

20 CSR 2220-2.685 Standards of Operation for a Class Q: Charitable Pharmacy

This rule establishes licensing requirements and standards of operation for a Class Q Charitable Pharmacy.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2263-2.082 Continuing Education

This amendment changes continuing education credit requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Social Workers

PROPOSED RULE

20 CSR 2220-2.425 Required Pharmacy Reporting

The purpose of this rule is to establish requirements for reporting compounding information to the Missouri Board of Pharmacy to ensure compliance with state and federal law.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will cost private entities approximately thirteen thousand eight hundred seventy-seven dollars and seventy-six cents ($ 13,877.76) annually over the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2234-6.010 Continuing Education

The board is amending subsection (3)(A) which adds the other affected profession of licensed agency investigator employee, subsection (3)(B) adds language allowing the automatic approval of any POST approved course as meeting the CE requirement, and subsection (4)(F) exempts the CE requirement for first time licensees during their first renewal period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Private Investigators

PROPOSED AMENDMENT

20 CSR 2030-8.020 Professional Land Surveyor—Professional Development Units

This rule is being amended to delete the contact hour requirement for professional development units.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration – Land Surveyors

PROPOSED AMENDMENT

20 CSR 2030-5.120 Scope of Examination—Land Surveyor-in-Training and Professional Land Surveyors

This rule is being amended to come into compliance with a statutory amendment via HB 2046, effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT

20 CSR 2030-5.160 State Exam Covering Chapter 327, RSMo, the Board Rules, and Ethics

This rule is being amended to come into compliance with a statutory amendment via HB 2046, effective August 28, 2020.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Architects, Engineers, Land Surveyors & Landscape Architects

PROPOSED AMENDMENT

20 CSR 2235-2.005 Educational Requirements, Section 337.025, RSMo

This amendment deletes subsection (3)(G) as it is no longer needed as many Missouri universities now issue pass/fail grades.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2235-2.070 Licensure by Reciprocity

This amendment clarifies licensure by reciprocity.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment would not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Psychologists
20 CSR 200-22.010 Licensing Procedures for Pharmacy Benefits Managers This proposed rule prescribes the license application process and fee required for Pharmacy Benefit Managers. All forms referenced in this regulation may be accessed at the department’s website at www.insurance.mo.gov. This rule is adopted pursuant to sections 374.045, 374.230 RSMo and implements section 375.393, RSMo.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Insurance

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